Care Management Processor

Jobtome; Corpus Christi (TX); On-site; USD 21,000 - 40,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking an administrative support specialist to assist the care management team. The role involves handling non-clinical tasks, scheduling, data entry, and member communication to support integrated care delivery.

You will work under the direction of care managers to help implement care plans and coordinate services. Ideal candidates have at least 1 year in healthcare administration, strong MS Office skills, and excellent customer service.

Qualifications

• Minimum of 1 year of experience in an administrative support role in health care or equivalent education/experience.
• Proficient in MS Office (Outlook, Word, Excel) and other common software.
• Excellent customer service, time-management, and organizational skills.
• Strong verbal and written communication abilities.
• Ability to screen, schedule, and coordinate care management activities.

Responsibilities

• Provides non-clinical administrative support to care management and assists in scheduling and data entry.
• Supports initial review of case levels and assignment of cases to care managers.
• Reviews data to identify member needs and helps implement care plans.
• Schedules member visits with care managers as needed.
• Screens members per Molina policies and coordinates member services.
• Promotes internal and external communication to enhance care management services.
• Processes member and provider correspondence.
• Handles 100% inbound call center work.

Skills

Attention to detail

Problem-solving

Customer service

Time management

Organizational skills

Verbal and written communication

Tools

Microsoft Office

Outlook

Word

Excel

Job description

Job Summary

Provides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members.
• Facilitates initial review of assigned case levels and assists in case management assignment to care managers.
• Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan.
• Schedules member visits with care managers as needed.
• Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services.
• Coordinates required member services in accordance with member benefit plan.
• Promotes communication both internally and externally to enhance effectiveness of care management services.
• Processes member and provider correspondence.
• Call center, 100% inbound calls

Required Qualifications

• At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience.
• Strong attention to detail.
• Problem-solving skills.
• Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software.
• Excellent customer service skills.
• Time-management and organizational skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

• Certified Medical Assistant (CMA).

Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $14.9 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.